NPIMap

Organization Active NPI

The Brown Clinic P.C.

  • Preferred Provider Organization
  • Swansea, IL
National Provider Identifier
1124361480
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
149014435 Issued in IL
Legal business name
THE BROWN CLINIC P.C.
Practice address
4460 N Illinois St Ste 7
Swansea, IL 62226-1899
Phone
(618) 222-7277
Fax
(618) 222-7305
NPI assigned
Apr 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ashley Renee Brown, MSW LCSWNPI 1114265220
Title
Licensed Clinical Social Worker
Phone
(618) 222-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 149014435 IL Primary

Addresses

Primary practice location

4460 N Illinois St Ste 7
Swansea, IL 62226-1899

Mailing address

4460 N Illinois St Ste 7
Swansea, IL 62226-1899
Phone (618) 222-7277

Other names 1

  • The Brown Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1124361480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 N ILLINOIS ST STE 7",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261899",
            "telephone_number": "618-222-7277",
            "fax_number": "618-222-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 N ILLINOIS ST STE 7",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261899",
            "telephone_number": "618-222-7277",
            "fax_number": "618-222-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROWN CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "16182227277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "149014435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Brown Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.